MEDIUMClinicalTier 1

Assessment of Inflammatory Cytokines in Molar Incisor Hypomineralization-affected First Permanent Molars: A Clinical Study

SourceJournal of EndodonticsTier 1Peer-Reviewed Research

Originally at sciencedirect.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Molar incisor hypomineralization (MIH) affects up to 40 % of children in some populations and increases risk of early caries, pulp inflammation, and repeated restorations. This study quantifies inflammatory cytokines inside the pulp of MIH-affected first permanent molars, giving clinicians objective data that may guide earlier pulp-therapy decisions.

Key points

  • Cytokine levels (IL-1β, TNF-α, IL-6, IL-8) were measured via ELISA in pulp samples from 60 MIH-affected molars versus 30 sound controls.
  • Statistically higher IL-1β and TNF-α concentrations were found in MIH teeth with demarcated opacities or post-eruptive breakdown compared with sound molars.
  • Findings suggest that pulp inflammation in MIH may begin before clinically obvious cavitation, potentially supporting earlier indirect pulp capping or pulpotomy decisions.
  • Authors are based in Turkey; results are scheduled for the August 2026 issue of the Journal of Endodontics—data not yet peer-reviewed in final form.

Who should care

SpecialistAssociate

Read the original on Journal of Endodontics

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